Mesh : Administration, Intravenous Attitude of Health Personnel Central Venous Catheters Education, Nursing, Continuing Heparin / administration & dosage Humans Job Description / standards Kidney Failure, Chronic / nursing Licensure, Nursing Nephrology Nursing / ethics organization & administration Nurse's Role Nursing Assistants / organization & administration Patient Care Team Practice Guidelines as Topic Renal Dialysis / nursing Sodium Chloride / administration & dosage Task Performance and Analysis United States

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Abstract:
The growing incidence of end stage renal disease (ESRD) has resulted in an ever-increasing demand for hemodialysis services throughout the country. Unlicensed assistive personnel (UAP), including dialysis technicians or patient care technicians (PCTs), and licensed practical nurses (LPNs) or licensed vocational nurses (LVNs) perform a vital role in the care of patients undergoing hemodialysis and are a critical staff component in hemodialysis facilities. This analysis provides a broad overview of the positions of states with respect to the administration of heparin and saline via peripheral and central lines by PCTs and LPNs/LVNs in the hemodialysis setting.
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